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Iowa rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.19 / $800.67 / $1,238.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $333.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $375.00 / $468.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $408.54 / $424.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $293.51 / $503.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.51 / $357.54 / $477.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.54 / $271.89 / $523.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.77 / $414.27 / $524.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $364.28